DR. KHALEN DEWAR CLARK OTD
NPI 1629798905
Occupational Therapist - Gerontology in Ruskin, FL

Active since August 29, 2022Accepts Medicare Assignment
3533 GREAT CYPRESS CIR APT 302, RUSKIN, FL 33573(412) 526-2921 Get Directions Write a Review

NPPES record last updated: August 29, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Khalen Dewar Clark Otd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KHALEN DEWAR CLARK OTD (NPI 1629798905) is an individual gerontology provider in Ruskin, Florida and active in the NPI registry since August 2022. She is a graduate of Other (2022).

NPPES Registry Identity

NPI1629798905
Entity TypeIndividualFemale
Primary Taxonomy225XG0600X
Provider Legal NameDR. KHALEN DEWAR CLARKCredential: OTD
Location Address3533 GREAT CYPRESS CIR APT 302Ruskin, FL 33573-6863
Mailing Address3533 Great Cypress Cir Apt 302Ruskin, FL 33573-6863 · (412) 526-2921
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 29, 2022
NPPES CertifiedAugust 29, 2022
NPI 1629798905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational Therapist · GerontologyRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225XG0600X
Definition

Occupational therapists work with older adults in virtually every setting: assisted living, wellness programs, hospitals, nursing homes, senior centers, clinics and in the home. Occupational therapists bring an understanding of the importance of participation and occupation for overall well-being to those who are experiencing disabling conditions related to aging. The primary overarching goal of occupational therapy services with this population is to maximize independence and participation, thereby enabling an older person to continue to live successfully in his or her chosen environment. Occupational therapists can help older adults by developing strategies to help or maintain safety and well-being, to assist with life transitions, and to compensate for challenges they experience in activities of daily living, instrumental activities of daily living, leisure participation, social participation, and productive activities.

3533 GREAT CYPRESS CIR APT 302, Ruskin, FL 33573

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Khalen Dewar Clark Otd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183122955
PECOS Enrollment IDI20250811002654

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Khalen Clark's NPI number?

The NPI number for Khalen Clark is 1629798905. It was assigned to this individual provider in the NPPES registry on August 29, 2022.

Where is Khalen Clark located?

Khalen Clark practices at 3533 Great Cypress Cir Apt 302, Ruskin, FL 33573. The listed phone number is (412) 526-2921.

What is Khalen Clark's specialty?

The primary specialty registered for this NPI is Occupational Therapist, specializing in Gerontology, with taxonomy code 225XG0600X.

Is Khalen Clark enrolled in Medicare?

Yes. Khalen Clark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Khalen Clark was last updated on August 29, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.